Arctic Rescue - Foster Application

Contact Information

Full Name

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Home Address

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City

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State

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Zipcode

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Phone Number

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Secondary Number

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Email Address

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Emergency Contact Name

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Emergency Contact Phone Number

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How did you find out about us?

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Foster Home Qualifications

If you're interested in fostering a specific dog, what is their name?

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Please indicate which breeds you have experience with. Check all that apply.

Alaskan MalamutesAlaskan HuskiesSiberian HuskiesI don't have previous experience with any of these, but I'm willing learn more about Northern Breeds. Invalid Input

Please describe your experience with the breeds you indicated above.

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How many pets do you currently have? (Please list name, approximate age, and breed for each.)

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Are all of your current pets spayed or neutered, and up to date on their vaccinations?

YesNo Invalid Input

If no, please explain.

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Are you willing and able to keep your current pets separate from your foster pet(s) if necessary?

YesNo Invalid Input

If no, please explain.

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Do you have any current foster pets?

YesNo Invalid Input

If yes, how many and which group are you fostering for?

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Are there any children in your household?

YesNo Invalid Input

If yes, please indicate their ages.

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Please list your philosophy on monitoring interactions between children and animals, and your philosophy on teaching both children and animals on how to interact appropriately.

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Do you rent or own?

RentOwn Invalid Input

If renting, do you have the landlord's permission to foster?

YesNo Invalid Input

Please provide your landlord's full name.

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Please provide your landlord's phone number.

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Please provide your landlord's email address.

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Please indicate any restrictions on your ability to foster.

Please explain any restrictions indicated above.

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Do you have a fenced yard?

YesNo Invalid Input

If yes, please indicate type and height.

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When you are home, where will the dog primarily be kept? Check all that apply.

Please explain the containment methods you indicated above.

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When you are not home, where will the dog be kept?

Please explain the containment methods you indicated above.

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Do you plan on moving within the next 60 days?

YesNo Invalid Input

How many hours a day would your foster pet(s) be alone?

Less than 2 hours2-3 hours4-8 hours9+ hours Invalid Input

Please indicate the noise level in your home.

QuietMid-LevelLoud Invalid Input

Please indicate the visitor activity in your home.

Family-OnlyMid-LevelFrequent Visitors Invalid Input

Please indicate the level of physical activity that takes place in your household.

Low ActivityModerately ActiveActiveExtremely Active Invalid Input

Are you able and willing to foster special needs animals?

YesNo Invalid Input

If yes, what types of special needs would you be willing to help with? Please check all that apply.

SeniorsNon-Contagious Medical (i.e. deaf/blindness, missing limbs, daily medications, etc.)Contagious MedicalBehavioral Issues (i.e. resource guarding, extreme anxiety, etc.)Underage Puppies, Bottle BabiesOther Invalid Input

Please let us know what you will need the rescue to provide for the foster animal financially, or otherwise (other than approved medical expenses which are already covered through Arctic Rescue).

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Do you object to a representative of ABR, visiting your home to check on the pet(s) in your care?

YesNo Invalid Input

Please list any requests that we need to consider.

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If you currently have pets, please list your vets name and contact information.

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Please explain any medical issues that any of your pets in your household have.

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References

Reference 1 Name:

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Reference 1 Phone:

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Reference 1 Email:

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Reference 2 Name:

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Reference 2 Phone:

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Reference 2 Email:

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Reference 3 Name:

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Reference 3 Phone:

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Reference 3 Email:

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Agreement

Do you agree that a representative of ABR may contact your veterinarian and listed references, to confirm information provided herein regarding your pets, and you consent to the release of such veterinary information by your veterinarian to an ABR representative.(*)

YesNo Please indicate whether you agree to the terms listed.

Please write the letters you see. (*)

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